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Gestational Diabetes, WWYD??

Marymak07Marymak07 member
in Natural Birth
So, I've been going to a birth center for prenatal care, and because of different risk factors they already did a GD screen on me.  I failed the one hr and just took the three hr today.  I was very close to passing the 1 hr, and passed it with my first pregnancy, so I wasn't worried.  However, I asked what the cut scores are for determining if you pass/fail and theirs are much lower than the commonly used on (one put out by the National Diabetes Data Group.).  

My midwife requires:  90 fasting, 180 1hr, 155 2hr, 140 3rd
NDDG scale:  105 fasting, 190 1hr, 165 2hr and 145 3hr.

SO I could, in theory, fail at my practice, and pass most other places.  I am hoping I pass all together but if I failed theirs (but would pass elsewhere) I'll be really annoyed.  I TOTALLY get that GD is serious and should be dealt with, but if it would be a non diagnosis elsewhere, it bothers me to have the label, be considered higher risk, have to prick my finger each day, have to put that on future insurance (we have a private plan for me - would likely be higher with GD label).

Would you consider switching if you failed theirs but would pass most other places?
SAHM to Eli, born 11.26.11
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Re: Gestational Diabetes, WWYD??

  • sschwegesschwege member
    They do the standard test?  Glucose drink?

    How you will be treated if you have GD?  Other than the finger prick, would they do anything differently? You did the three hour so that's only a difference of 5 points, maybe you could talk to them if you fell in that small window? 

    I probably wouldn't switch if I was happy with the place.


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  • noditonodito member
    If your levels came back at, say 100 for fasting, 185 for 1 hour, etc., I would probably aks to be retested again in a week or so and ask them to ammend the diagnosis if it was clean.  On the other hand, those are pretty high levels so it might make sense to follow the GD recommendations for diet and exercise even if you are technically in the clear.
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  • tschan27tschan27 member
    The GD test, while it can be helpful sometimes is not always a great indication as to how your body is actually handling your blood sugar levels on a daily basis. If you are comfortable with it, ask your midwives if you could test your blood sugar levels at home for a week or two to get an accurate look at what your body is doing with your typical diet rather than what it does when given a ridiculously high dose of glucose. I have done this with my past two pregnancies and it was very helpful to see how different foods effected me. It does require that you do a finger poke for a week or two but it will overall be much more helpful and informative than the typical GD test. 
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  • PepperBugPepperBug member
    Are the scores put out by nddg commonly used for type 2 or GD? The cutoffs for GD are usually much lower than the ones used for type two because the higher cutoffs used for type 2 can be harmful to baby. The cutoffs you are suggesting are really high for GD. When I had GD (twice with two different doctors), if my fasting were to be consistently that high, they would put you on insulin rather than diet control.
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  • sschwegesschwege member
    PepperBug said:
    Are the scores put out by nddg commonly used for type 2 or GD? The cutoffs for GD are usually much lower than the ones used for type two because the higher cutoffs used for type 2 can be harmful to baby. The cutoffs you are suggesting are really high for GD. When I had GD (twice with two different doctors), if my fasting were to be consistently that high, they would put you on insulin rather than diet control.
    This is what I'm wondering too.  I think the cut-off for the 1 hour at my office was 140.
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  • Sea ConquestSea Conquest member
    tschan27 said:

    The GD test, while it can be helpful sometimes is not always a great indication as to how your body is actually handling your blood sugar levels on a daily basis. If you are comfortable with it, ask your midwives if you could test your blood sugar levels at home for a week or two to get an accurate look at what your body is doing with your typical diet rather than what it does when given a ridiculously high dose of glucose. I have done this with my past two pregnancies and it was very helpful to see how different foods effected me. It does require that you do a finger poke for a week or two but it will overall be much more helpful and informative than the typical GD test. 

    This.

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  • Sea ConquestSea Conquest member
    PepperBug said:

    Are the scores put out by nddg commonly used for type 2 or GD? The cutoffs for GD are usually much lower than the ones used for type two because the higher cutoffs used for type 2 can be harmful to baby. The cutoffs you are suggesting are really high for GD. When I had GD (twice with two different doctors), if my fasting were to be consistently that high, they would put you on insulin rather than diet control.

    I'm wondering this too. I've had GD twice and those levels are high. I was on Glyburide for fasting once my levels got in that range and was diagnosed GD at 10w for a single 96 fasting, even though my A1C was normal.

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